| NPI | 1508271065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MO 2012025442) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-15686) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |